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体外受精-胚胎移植中婚姻满意度与失败之间的关系:基于行为者-伴侣相互依赖模型方法

Relationship between marital satisfaction and defeat in IVF-ET: based on actor-partner interdependence model approach.

作者信息

Li Chaofeng, Fan Yingying, Chen Dan, Wu Yuwei, Huang Yi, Liu Dan

机构信息

Medical College of Hunan Normal University, Changsha, China.

Changsha Maternal and Child Health Care Hospital, Changsha, China.

出版信息

Psychol Health. 2024 Aug 5:1-14. doi: 10.1080/08870446.2024.2387213.

DOI:10.1080/08870446.2024.2387213
PMID:39101758
Abstract

OBJECTIVE

A person's marital satisfaction is a strong predictor of their own mental health outcomes. However, marital satisfaction results from both spouses' experiences, so a partner's marital satisfaction also affects his or her mental health outcomes. This study adopted the actor-partner interdependence model approach (APIM) to evaluate the relationship between marital satisfaction and sense of defeat fertilization-embryo transfer (IVF-ET) couples.

METHODS AND MEASURES

In this cross-sectional study, 181 infertile couples undergoing IVF-ET treatment were recruited using the Marital Satisfaction Scale of the ENRICH Marital Quality Questionnaire and Defeat Scale. Through APIM and Pearson analysis, the path relationship between marital satisfaction and defeat was analyzed.

RESULTS

The varying degrees of defeat in IVF-ET couples, are closely related to actors' and partners' marital satisfaction. In terms of actor effects, the Marital Satisfaction of both husbands ( = -0.71,  < 0.001) and wives ( = -0.46,  = 0.001) have a significant effect on individual Defeat. With regard to partner effects, husbands' Marital Satisfaction ( = -0.23,  = 0.038) has a significant impact on wives' Defeat and the wives' Marital Satisfaction ( = -0.45,  = -0.005) has a significant impact on husbands' Defeat.

CONCLUSION

IVF-ET couples must be looked at as a whole, and it is critical to include couples and not just men or women when studying infertility. The importance of their interaction is essential to improve the psychosocial adaptation of infertile couples in IVF-ET treatment.

摘要

目的

一个人的婚姻满意度是其自身心理健康状况的有力预测指标。然而,婚姻满意度源于夫妻双方的体验,因此伴侣的婚姻满意度也会影响其心理健康状况。本研究采用行为者-伴侣相互依赖模型方法(APIM)来评估婚姻满意度与失败感之间的关系,研究对象为接受体外受精-胚胎移植(IVF-ET)的夫妇。

方法与测量

在这项横断面研究中,使用ENRICH婚姻质量问卷的婚姻满意度量表和失败感量表,招募了181对接受IVF-ET治疗的不孕夫妇。通过APIM和Pearson分析,分析婚姻满意度与失败感之间的路径关系。

结果

IVF-ET夫妇不同程度的失败感与行为者和伴侣的婚姻满意度密切相关。在行为者效应方面,丈夫(β = -0.71,p < 0.001)和妻子(β = -0.46,p = 0.001)的婚姻满意度对个体的失败感均有显著影响。在伴侣效应方面,丈夫的婚姻满意度(β = -0.23,p = 0.038)对妻子的失败感有显著影响,妻子的婚姻满意度(β = -0.45,p = -0.005)对丈夫的失败感有显著影响。

结论

必须将IVF-ET夫妇视为一个整体,在研究不孕症时纳入夫妇双方而不仅仅是男性或女性至关重要。他们互动的重要性对于改善IVF-ET治疗中不孕夫妇的心理社会适应至关重要。

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